International Research Journal of Public Health

A quasi experiment to implementing standard multimodal strategy to improve hand hygiene behavior in a healthcare facility in central Saudi Arabia

Research Article of International Research Journal of Public Health A quasi experiment to implementing standard multimodal strategy to improve hand hygiene behavior in a healthcare facility in central Saudi Arabia Ashraf E. Saad,1 Al-Wasila T. Al-Natig,2 Mostafa M. Sadek,3,4 Raouf M. Afifi55,6 1Department of Preventive Medicine, Armed Forces Hospital at Wadi Al-Dawasir, KSA; 2Infection Prevention and Control Unit, Armed Forces Hospital at Wadi Al-Dawsir, KSA; 3Sadeklab Laboratories, Alexandria, Egypt, 4Microbiology and Public Health Department, Military Medical Academy, Formerly, Egypt. 5Community Health Research Institute, International Management-Health Services, Indianapolis, IN, USA, 6Health Research Institute, SA Consultancy and Training, Cairo, Egypt Hand hygiene (HH) compliance of healthcare workers (HCWs) remains suboptimal despite standard multimodal promotion, and evidence for the effectiveness of novel interventions is urgently needed. Aim: Improve HCWs’ HH compliance toward minimizing healthcare associated infection (HCAI) risk in Wadi Al Dawasir Hospital (WDH), central Kingdom of Saudi Arabia (KSA). Methodology: A quasi experimental approach was adopted to achieve study aim. The HCWs’ behavior of HH during the duration between 2015 and 2016 was evaluated before and after a HH educational plan based on the World Health Organization (WHO) “Multimodal HH Improvement Strategy” (MMHHIS). The HCWs’ compliance in response to HH indications represented by the WHO’s “My 5-Moments for HH” and the type of HH action taken, whether hand washing (HW) or hand-rubbing (HR) were analyzed. Results: The number of opportunities observed of HH performance accounted 230 in 2015 (pre-education), and 237 in 2016 (post-education). The HCWs’ HH compliance rate in the pre-education phase did not vary by the 5-moment indications [χ2(df 4) = 0.01, p=0.98]. Conversely, the compliance rate after HH education was higher than non-compliance across all 5-moment indication opportunities (ranged between 57.0% up –to 88.9%) [χ2(df 1) =18.25, p<0.001]. Only the 3rd – and 4th 5-moment indications (“after body fluid ...

Risk Factors of Pregnancy-Induced Hypertension in Block Hazratbal of District Srinagar, Jammu and Kashmir- a Prospective Longitudinal Study

Research Article of International Research Journal of Public Health Risk Factors of Pregnancy-Induced Hypertension in Block Hazratbal of District Srinagar, Jammu & Kashmir----a Prospective Longitudinal Study Rouf Hussain Rather1, Umar Nazir1, Shazia Benazir2 ,S Mohammad Salim Khan3 1Demonstrator, Department of Community Medicine, Government Medical College, Karanagar Srinagar. 2Senior Resident at Department of Microbiology SKIMS Soura, Srinagar.3Professor and Head Department of Community Medicine, Govt. Medical College, Srinagar. INTRODUCTION:The term Pregnancy induced hypertension (PIH) refers to a disorder of blood pressure that arises because of the state of pregnancy. PIH is defined as new onset hypertension with or without significant proteinuria emerging after 20 weeks of gestation, during labour, or in first 48 hours post-partum. Objectives:To find out the risk factors of PIH in block Hazratbal, Srinagar. METHODOLOGY:A Community based longitudinal study was conducted in Block Hazratbal (District Srinagar) for a period of 18 months. All the pregnant females attending the antenatal clinic at the subcenters and PHCs were included in the study and assessed for eligibility. The pregnant women enrolled in the study were examined again around 30 weeks, 37 weeks and once in postnatal period. The information was collected from the study subjects on the basis of pretested semi- structured questionnaire regarding age, educational status, income per capta, occupation, family history of PIH, history of (H/O) hypertension in any family member, H/O addiction, physical activity, gravidity, parity, time since last child birth, H/O PIH in previous pregnancy, height, weight, anemia, edema, gestational age at delivery, fetal gender mode of delivery. RESULTS: Incidence of PIH increased with increasing age and was much higher among those study subjects who had a history of PIH in the previous pregnancy, who had a family H/O PIH, who delivered twins, who had a H/O hypertension in any family member, who had edema at baseline examination ...

Community Based Assessment of Bed Bug Infestation Status in Arba Minch Zuria Woreda, Southern Ethiopia

Research Article of International Research Journal of Public Health Community Based Assessment of Bed Bug Infestation Status in Arba Minch Zuria Woreda, Southern Ethiopia Abate Waldetnasi*1, Araya Eukubay1, Jemal Mohammed1, Sileabat Aschalew2 1Ethipian Public Health Institutes, Addis Ababa, Ethiopia 2South Omo zone Health Department, Jinka, Ethiopia Introduction: Bedbug infestations have become a serious problem in housing dueto their crawling and blood sucking activities. Objective: This study was aimed to assess the infestation status and public health importance of bed bug infestation in low income communities at household level. Methods: A community based cross-sectional study was conducted between January and February, 2018 on 721 housuholds in Arba Minch zuria Woreda, Southern Ethiopia with random sampling technique. Data collection was undertaken on knowledge and attitude about bed bug and bedbug infestation health impacts and factors for the infestation and control practices used were collected with well prepared questionnaire and standard observational check. Results: From all inspected materials, 97% infestation were on wall and sleeping and mosquito bed nets. The left materials relatively infested less were arm chair (2.76%) and other materials (0.89%) found in the house of the participants. About 31% and 15% participants reported bed bug infestation prohibited from using mosquito nets and cause thyphoid respectively. The left 55 % of participants reported the infestation causes wounds, itching, lossing rest and skin lesion. 98.1% of the participants have a knowledge about bed bug, blood sucking insects and 44% of respondents believed in insecticide nets increases the infestation. 72.5% household are using together hot water (42.28%) and ajjacks with water (30.2%) followed by 18.8% chemicals to control infestation. Omo soap, sun lights and plants were optional mechanisms of infestation controls. Conclusion: Bedbugs resurgences and its related factors are being considered as public health problem in Ethiopia. More researches focusing on bed bug ...

Change of pain threshold in patients with muscle disorder subjected to conservative treatment

Research Article of International Research Journal of Public Health Change of pain threshold in patients with muscle disorder subjected to conservative treatment Gustavo Helder Vinholi Federal University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil Temporomandibular Disorder (TMD) is a clinical syndrome that mainly affects the masticatory muscles and temporomandibular joints (TMJ). The manual palpation is the most used clinical method to evaluate the muscle pain and is considered an important part of the clinical examination. The pressure algometry is used to verify the initial threshold of myofascial pain perception in the temporomandibular disorder. The purpose of this research was to evaluate the pain threshold change in patients with muscle-type TMD before and after the conservative treatment. Twenty seven volunteers were screened according to the Research Diagnostic Criteria (RDC/TMD), and 14 had muscle TMD and 13 with absence of TMD (control group). Measurements were taken with the pressure algometer in every patient in temporal and masseter muscles in order to quantify the response to the patient painful stimulus. After the proposed treatment the patient was scheduled to return in 7,14, 28 and 56 days. Therefore, it resulted in 18 patients for the study. The algometer comparison between the groups treated before and after the care, showed an initial value (in KgF) of 0.827 ± 0.405 and final of 1.416 ± 0.745, p<0.001 (significant level of 5%). With this research, it can be concluded that patients with muscle-type TMD treated conservatively tolerate a greater load of pressure after the treatment. Keywords:Temporomandibular joint disorders; pain; palpation ...

Dr. Mohammad Hadi Dehghani
Professor, Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences

Dr. Beatrice O. Ondondo 
Department of Biomedical Sciences, School of Health Sciences, Cardiff Metropolitan University, Llandaff Campus, Western Avenue, Cardiff, CF5 2YB

Ms. Yau Sui Yu
Assistant Professor (Nursing), The Open University of Hong Kong C0924, The Open University of Hong Kong, 30, Good Shepherd Street, Ho Man Tin, Kowloon, Hong Kong

Dr. Mario Bernardo-Filho
Professor Titular, Universidade do Estado do Rio de Janeiro

Dr Anirudh V. Mutalik
Assistant Professor and Incharge Rural Health Training Centre. KMCT Medical College,Calicut

Dr. Hamdy Ahmad Sliem
Professor, Internal Medicine, Faculty of medicine, Suez Canal University, Egypt

Dr. Abdelrahman Y. Fouda
Vascular Biology Center, R.B. Caldwell lab, Augusta University

Dr. Kabita Mishra
Senior Research Fellow (Homoeopathy), D.D.P.R.-Central Research Institute for Homoeopathy , (Ministry of A.Y.U.S.H., Government of India)

Dr. Ionel BONDOC
Associate Professor, University of Agricultural Sciences and Veterinary Medicine Iasi, Faculty of Veterinary Medicine Iasi (ROMANIA), Department of Public Health

Dr Col Narendra Singh
Professor Community Medicine, Central Govt Medical College & Hospital in Faridabad , India

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1. John P. Elliott, Andrew Elliott, Allison Cimler,Nardo Zaias, Sandra Escovar. Extraordinary Rapid Wound Healing Time in Diabetic Patients Treated with Microburst Insulin Infusion.International Research Journal of Public Health, 2018; 2:14. DOI:10.28933/irjph-2018-08-1001 
2. Blaurock-Busch E. and Nwokolo Chijioke C. Heavy Metals and Trace Elements in Blood, Hair and Urine of Nigerian Children with Autistic Spectrum Disorder. International Research Journal of Public Health, 2018; 2:13. DOI:10.28933/irjph-2018-07-2201

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International Research Journal of Public Health


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